
After peaking at 16% in the 1990’s, Zambia’s adult HIV prevalence has declined to 14% in 2009. There is a wide geographical variation in the Zambian epidemic with big differences between prevalence in urban areas (20-30%) and rural areas (15-20%), and higher infection rates amongst women than in men.

Key drivers include multiple and concurrent sexual partnerships, low condom use, low male circumcision, high alcohol and drug abuse, and low risk perception, amongst many others.
The Government of the Republic of
Zambia has prioritized making ART available to all Zambians in need,
however are facing significant challenges.